Individual provider Active NPI

Denton Barnes, PA

  • Physician Assistant
  • Goldsboro, NC
National Provider Identifier
1891234282
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06991 Issued in NC
Practice address
203 Cox Blvd
Goldsboro, NC 27534-9479
Phone
(919) 587-9040
Fax
(919) 587-9047
NPI assigned
Feb 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-06991 NC Primary

Addresses

Primary practice location

203 Cox Blvd
Goldsboro, NC 27534-9479

Mailing address

203 Cox Blvd
Goldsboro, NC 27534-9479
Phone (919) 587-9040

Other identifiers 1

IdentifierTypeStateIssuer
1891234282MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbarnes@cancersmoc.direct.varian.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170512000324 NC Practitioner - Physician Assistant 5092092452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Medical Oncology CenterGroup PAC ID 8325017817, 10 clinicians

Practice addresses (Care Compare)

203 Cox Blvd
Goldsboro, NC 27534-9479
Phone (919) 580-0000

211 Beaman St
Clinton, NC 28328-2905
Phone (910) 592-5727

Merit-based Incentive Payment System (MIPS)

Final score
99.2 of 100Reported as group
Quality
94.41
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-06991NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Health Family Medicine LLC PastSince Feb 23, 2014 Accepting new patients
Little River Med 1 PA Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1891234282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349479",
            "telephone_number": "919-587-9040",
            "fax_number": "919-587-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349479",
            "telephone_number": "919-587-9040",
            "fax_number": "919-587-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "DENTON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-17",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891234282",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbarnes@cancersmoc.direct.varian.com",
            "affiliation": "N",
            "address_1": "203 Cox Blvd",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.